Bacon-wrapped pasta tubes packed with seasoned ground beef, Italian sausage, and melted cheese create an unforgettable smoked appetizer. The crispy exterior gives way to tender, juicy filling infused with rich wood smoke in every satisfying bite.
Boil jumbo pasta shells until al dente, drain and rinse with cold water, then set aside to cool completely.
Mix ground beef, Italian sausage, cream cheese, both cheeses, Italian seasoning, garlic powder, black pepper, and red pepper flakes in a bowl.
Stuff each cooled shell firmly with the meat mixture and wrap with one bacon slice, securing with toothpicks if needed.
Preheat smoker to 225°F and place wrapped shells on grate, smoking for 90 minutes.
Whisk BBQ sauce, honey, and vinegar together, brush over shells, and smoke 30 more minutes until bacon is crispy and internal temperature reaches 165°F.
Remove from smoker, rest 5 minutes, remove toothpicks, and serve warm.